PMID- 9819364 OWN - NLM STAT- MEDLINE DCOM- 19981231 LR - 20181113 IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 102 IP - 10 DP - 1998 Nov 15 TI - Reduced transplant arteriosclerosis in plasminogen-deficient mice. PG - 1788-97 AB - Recent gene targeting studies indicate that the plasminogen system is implicated in cell migration and matrix degradation during arterial neointima formation and atherosclerotic aneurysm formation. This study examined whether plasmin proteolysis is involved in accelerated posttransplant arteriosclerosis (graft arterial disease). Donor carotid arteries from wild-type B10.A2R mice were transplanted into either plasminogen wild-type (Plg+/+) or homozygous plasminogen-deficient (Plg-/-) recipient mice with a genetic background of 75% C57BL/6 and 25% 129. Within 15 d after allograft transplantation, leukocytes and macrophages infiltrated the graft intima in Plg+/+ and Plg-/- recipient mice to a similar extent. In Plg+/+ recipients, the elastic laminae in the transplant media exhibited breaks through which macrophages infiltrated before smooth muscle cell proliferation, whereas in Plg-/- recipients, macrophages failed to infiltrate the transplant media which remained structurally more intact. After 45 d of transplantation, a multilayered smooth muscle cell-rich transplant neointima developed in Plg+/+ hosts, in contrast to Plg-/- recipients, in which the transplants contained a smaller intima, predominantly consisting of leukocytes, macrophages, and thrombus. Media necrosis, fragmentation of the elastic laminae, and adventitial remodeling were more pronounced in Plg+/+ than in Plg-/- recipient mice. Expression of the plasminogen activators (PA), urokinase-type PA (u-PA) and tissue-type PA (t-PA), and expression of the matrix metalloproteinases (MMPs), MMP-3, MMP-9, MMP-12, and MMP-13, were significantly increased within 15 d of transplantation when cells actively migrate. These data indicate that plasmin proteolysis plays a major role in allograft arteriosclerosis by mediating elastin degradation, macrophage infiltration, media remodeling, medial smooth muscle cell migration, and formation of a neointima. FAU - Moons, L AU - Moons L AD - Center for Transgene Technology and Gene Therapy, Flanders Interuniversity Institute for Biotechnology, B-3000 Leuven, Belgium. FAU - Shi, C AU - Shi C FAU - Ploplis, V AU - Ploplis V FAU - Plow, E AU - Plow E FAU - Haber, E AU - Haber E FAU - Collen, D AU - Collen D FAU - Carmeliet, P AU - Carmeliet P LA - eng GR - HL-17964/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 9001-91-6 (Plasminogen) RN - EC 3.4.21.- (Plasminogen Activators) RN - EC 3.4.24.- (Metalloendopeptidases) SB - IM MH - Animals MH - Arteriosclerosis/enzymology/genetics/*pathology MH - Carotid Arteries/enzymology/*pathology/transplantation MH - Cell Division MH - Cell Movement MH - Endothelium, Vascular/immunology/pathology MH - Host vs Graft Reaction MH - Immunohistochemistry MH - Macrophages/cytology MH - Male MH - Metalloendopeptidases/metabolism MH - Mice MH - Mice, Knockout MH - Muscle, Smooth, Vascular/cytology MH - Plasminogen/genetics/*physiology MH - Plasminogen Activators/metabolism PMC - PMC509128 EDAT- 1998/11/20 00:00 MHDA- 1998/11/20 00:01 PMCR- 1998/11/15 CRDT- 1998/11/20 00:00 PHST- 1998/11/20 00:00 [pubmed] PHST- 1998/11/20 00:01 [medline] PHST- 1998/11/20 00:00 [entrez] PHST- 1998/11/15 00:00 [pmc-release] AID - 10.1172/JCI3316 [doi] PST - ppublish SO - J Clin Invest. 1998 Nov 15;102(10):1788-97. doi: 10.1172/JCI3316.